硝子体手術後の糖尿病眼への白内障手術と眼内レンズ挿入術の術後炎症

Inflammation following cataract surgery with intraocular lens implantation in vitractomized diabetic eyes

　糖尿病網膜症に対する硝子体手術後の白内障眼内レンズ挿入手術に伴う前房炎症の経過を検討するために，レーザーフレアセルメーターによる前房蛋白濃度測定を行った。硝子体手術後白内障6眼（硝子体手後期間；15.3±8.7か月）の経過を，糖尿病網膜症（福田分類AⅡ）のある白内障18眼および非糖尿病患者の白内障12眼の術後経過と比較した。硝子体手術後例では術前から後二者に比較して有意に高いフレア値を示し，術後1日目のみ糖尿病網膜症例と差がなかったが，それ以外は術後6か月まで有意に高いフレア値を示し，とくに術後2週までは非常に高値であった。糖尿病網膜症例の術後1日目のフレア値は非糖尿病例に比較して有意に高かった。

We evaluated the postoperative inflammation in 6 cataract eyes following phacoemulsification and aspiration with posterior chamber lens implanta-tion. All the eyes had been treated by vitrectomy for proliferative diabetic retinopathy at an average of 15.3±8.7 months before. We used a laser flare -cell meter in quantitating the inflammation. Mea-surement was repeated before surgery and up to 6 months postoperatively. The flare count was compared with those in cataract eves with back-ground diabetic retinopathy 18 eyes and without diabetes 12 eyes. The flare count was higher in postvitrectomy group than in the other two groups throughout (p＜0.05) except on the postoperative day 1. The flare count was higher in diabetic retinopathy group than in nondiabetic one on the postonerative day 1 (p＜0.005).